‘Canalization’ of the frontal sinus: a functional approach for the management of post-traumatic sinusitis with lateral bony septa. Report of two cases and long-term follow-up

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• 作者：J.-P. Foy¹ ; R.H. Khonsari¹ ; ^{roman.khonsari@aphp.fr" class="auth_mail" title="E-mail the corresponding author} ; C. Bertolus¹ ; F. Espitalier² ; C. Ferron² ; P. Corre³ ; A. Faure⁴
• 关键词：frontal sinusitis ; frontal sinusotomy ; post-traumatic ; intranasal procedure ; canalization ; functional surgery ; naso-frontal duct
• 刊名：International Journal of Oral and Maxillofacial Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：45
• 期：7
• 页码：884-886
• 全文大小：589 K

文摘

The patency of the naso-frontal duct is a key issue in the surgical management of chronic frontal sinusitis. Most of the current operative techniques only provide access to the paramedian portions of the frontal sinus. A canalization approach that allows a functional frontal sinus to be maintained while providing good access to the most lateral areas of the sinus is described herein. Two cases of severe post-traumatic frontal sinusitis, operated on successfully by canalization method based on the conservation of the frontal sinus and the maintenance of the patency of the naso-frontal duct, using both open and endonasal approaches, are reported. One patient was followed-up for 8 years and the other for 7 months. Canalization requires validation in a larger series. This approach provides an alternative to both cranialization and strictly endoscopic methods in lateralized frontal sinus retentions and allows mucocele to be avoided.